JENNIFER KAY BLAKE (NPI# 1972620110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972620110 |
| Entity Type | Individual |
| Full Name | JENNIFER KAY BLAKE |
| Credential | MA |
| Practice Address |
150 Shelton Mcmurphey Blvd Ste 101 Eugene OR 97401-5015 |
| Mailing Address |
3995 Marcola Rd Springfield OR 97477-7948 |
| Practice Telephone | 5412108090 |
| Practice Fax Number | 5412105310 |
| Mailing Telephone | 5417261465 |
| Mailing Fax Number | 5417265085 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C5663 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI | 1972620110 | 01 |
| OR | 500663059 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3995 Marcola Rd, Springfield, OR 974777948 | 5417261465 | 5417265085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629623574 | Jennifer Ann Blake | Social Worker | 5000 S 5th Ave Bldg 200, Hines, IL 60141-3030 | 2019-08-07 |
| 1508198078 | Jennifer Lynn Blake | Speech-Language Pathologist | 3161 Sw 50th St, Ft. Lauderdale, FL 33312 | 2010-02-08 |
| 1114552585 | Jennifer E Blake | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2020-03-06 |
| 1497245708 | Jennifer Christina Blake | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1400, Houston, TX 77030-5389 | 2018-05-11 |
| 1023535739 | Jennifer K Blake | Physical Therapist | 594 Broadway, New York, NY 10012-3233 | 2017-08-23 |
| 1942641550 | Jennifer Blake | Occupational Therapist | 2501 Downing St Sw, Wilson, NC 27893-4517 | 2013-07-11 |
| 1457649204 | Jennifer L Blake | Counselor | 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 | 2011-07-14 |
| 1982998282 | Jennifer Lynn Blake | Physical Therapist | 506 Plain St, Suite 101, Marshfield, MA 02050-2744 | 2011-06-03 |
| 1598073835 | Jennifer Marie Blake | Registered Nurse | 601 E 15th St, Austin, TX 78701-1930 | 2010-09-21 |
| 1891952370 | Jennifer Marie Blake | Pediatrics | 3901 Beaubien St, Childrens Hospital of Mi 4th Fl, Detroit, MI 48201-2119 | 2008-05-21 |
| Street Address |
150 SHELTON MCMURPHEY BLVD STE 101 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126175 | Jill Evelyn Torres | Counselor | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2020-05-21 |
| 1952931297 | Lisa Kathryn Browne | Counselor | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2020-01-24 |
| 1124400908 | Madrone Mental Health Services, LLC | Social Worker | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2015-06-29 |
| 1376932525 | Lisa Marie Ritter | Counselor | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2015-01-12 |
| 1942574413 | Virginia Louise Sackett | Social Worker | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2012-03-01 |
| 1497084602 | Galen Leslie Phipps | Social Worker | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1689296113 | Ruby Joy Garcia | Counselor | 970 W 7th Ave, Eugene, OR 97402-4612 | 2020-05-06 |
| 1578118931 | Kindra Maline French | Counselor | 767 W 8th Ave, Eugene, OR 97402-5139 | 2019-08-02 |
| 1083272900 | Sarah Louise Stutzman | Counselor | Oregon Community Programs, 1170 Pearl St, Eugene, OR 97401-3541 | 2019-06-05 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1114412178 | Sarah Jane Kahler | Counselor | 3500 Chad Dr Ste 350, Eugene, OR 97408-7426 | 2018-06-22 |
| 1417444217 | White Bird Clinic | Counselor | 341 E. 12th, Eugene, OR 97401-3212 | 2018-04-17 |
| 1346747854 | White Bird Clinic | Counselor | 341 East 12th Ave, Eugene, OR 97401-3212 | 2018-04-11 |
| 1891292314 | White Bird Clinic | Counselor | 341 East 12th Avenue, Eugene, OR 97401-3212 | 2018-04-11 |
| 1992230940 | Michelle Maher | Counselor | 1060 Almaden St, Eugene, OR 97402-3739 | 2017-04-27 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.